Thomas and Daniela Minerva Cerno
108 billion euro. To pay for personnel, procurement, medicines. The 70-80 per cent of the regional budget. Both the health of the Italian coast. Here is what the lobby will weigh on the health of voting in March
hundred and eight billion euro. Or the 70-80 per cent of the budget. Both weigh in health for the regional game in March. A mountain of money going to feed thousands of jobs, millions of euro contracts and agreements and, therefore, other places of lavoro.Ma an army besieging the coffers of health to make sales, exchange favors, often stealing. The
AUDIOINTERVISTA Ignatius MARINO
The chronicles tell almost daily gold rush like this often results in inefficiency, poor health care, kickbacks and embezzlement.
But the trickle of Chronicles is just the tip of an iceberg that has brittle a broad and solid: the intertwining of policy and health deteriorates that when the corruption and malfeasance in the deaths and produces pain, but always and everywhere governs our health according to several criteria, which are virtuous or patronage. The governors know that the management of health depends on consensus. If not why someone like Roberto Formigoni runs it on his own, relying alderman nothing more than the small everyday cooking? Or because the Tuscany for the third time presidential candidate region a former Councillor for Health, as was the outgoing governor Claudio Martini and today is the candidate of the center Enrico Rossi? Hospitals, clinics, dispensaries, health centers of basic pharmacy: are the premises of the party of health care, where the candidates are played throughout. Let's see what are the mechanisms that govern the regions in the vote.
Lombardia
The super party health Lombard weblog Communion and Liberation is prepared to count. The problem is not only the challenger Filippo Penati, or the relationship with PD and red co-ops, which crunch, in fact, crumbs. The unknown more Bossi is the weight that could buy in Pirellone if, as expected the polls to overtake the PDL League. A result that would have the effect of the revolution in health care chairs. And so the counter Cl is playing its hospitals. Mobilized to fill up votes for the PDL.
Not that the Northern League is dry appointments, former deputy Cesare Ercoli ASL to Gege Rossi, medical and guitarist of District 51, the band Varese Minister Maroni hospital in Lodi. But so far, while leading the department never really had an impact. Who decides is the general manager Carlo Lucchina, jacket and tie, curriculum perfect: CL, with the support of Giancarlo Abelli, ras Health Lombard, and the Secretary-General Nicolamaria Sanese man shadow of the nominations. "The system revolves around a health Formigoni that works and is able to mobilize millions of votes. What I do not see are the huge cost, "says Joseph Landonio, a former oncologist elected to the palace of the Niguarda Marino. In addition to the nomination, here in Milan, including construction contracts are centralized health. All managed by Infrastructure Lombard, the public spa controlled the Councillor (also CL) Raffaele Cattaneo.
In Lombardy health means employees 100 000 10 000 public and private, including 180 hospitals, clinics and principals and 56 000 beds in nursing homes. With a turnover of over € 16 billion, and 30 percent that end up in private pockets to lobby. The most important is led by Joseph Rotelli, owner of the San Donato, which also controls 11 percent of RCS-Corriere della Sera. Other pillars are Humatitas-Techint Group of the Rocca family, the San Raffaele, Don Luigi Verzè, Multimedia Daniel Schwarz. A block for almost 8 billion, which is buying beds supplied by the public system, and from which Formigoni expects to get full support thanks to a law that allows local health authorities to increase the rates that accredited facilities to repay a share of between 19 and 25 per cent. Valid only for IRCCS, institutions for hospitalization and care of a scientific nature, and have enacted similar provisions to other regions. But here the matter has another weight: the last five years many private hospitals have been awarded the 'promotion' to Irccs. "It is about 100 million more, to deliver agile," says the director of the Green, Charles Monguzzi.
Meanwhile, Formigoni has scheduled a dozen cuts the ribbon. He made his debut on January 8, ushering in a pavilion of 266 million at Niguarda hospital led by Pasquale Cannatelli, one that in his study at the photo of Don Giussani Instead of Napolitano.
Emilia-Romagna
That itch that of the Cup with an unpredictable turning point that had a flower all'occhello Health Emilia-Romagna has turned into a nightmare. We are talking about the spa Cup 2000, the company owned by the region which, on behalf of the regional health system, manages one of the reservations, the switchboard of Bologna, is in charge of the computerization of pharmacy and started the project Sun, networking of 3,800 physicians, which costs € 39 million to add 8 more for year.
The leadership of the health of Emilia-Romagna years envisioned by the legendary Sun that allows the computerization of all health and already anticipate the success of the election campaign to announce within days that every citizen should have his password to see doctors, make reservations, collect reports, and so on. A masterpiece of efficiency and crumbled 6 April 2009. When the ex-girlfriend of former Mayor Flavio Delbono, Cinzia Cracchi, was taken by Cup 2000 spa with a salary considered incongruous. Today, the tsunami that swept the former mayor has turned a spotlight on quell'assunzione and the relationship between the spa and Cup2000 Sofas Mirko's friend Delbono advisor to the Cup is his company, Connex Card, which installs computers in doctors' and received over the past five years about 900 000 € without winning any tender, even if the friend of the mayor has an office right inside the home of 2000 Cup. Not only that the judiciary is suspected that the management of Connex Card is not exactly linear and is investigating. So head to Vasco Errani dropped a tile unexpected here is a friend of Matt's former vice president who does business with a company in the region without any control is exercised. While the service contract with the Cup 2000 clearly says that the region should monitor their activities. The commissioner John Bissoni has a lot to argue that their can only control the information that the spa provides, and never was told of contracts to outsource the installation of computers to doctors. The question remains as to why the contract of then vice-president friend is still in the shadows. And doubt weighs on the regional to the point that the commissioner immediately frozen payments to project the Sun on hold for clarification.
And so a crack breaks the compact and solid that governs health. "It is the only service with which the region is presented directly to the citizens. We know that we will be judged primarily on this, and we can not go wrong, "the commissioner gloss Bissoni. And as I said, do you think would be a disaster if the mayor's amorazzi ruined his masterpiece: a health system that offers excellent quality services, a web made of cohesive relations of iron, between regions and local administrators and operators health, that ride more than 8 billion euro per year but above all try to accommodate five million voters, among the most insatiable and critics that there are in Italy. In Emilia-Romagna
the party coincides perfectly with the health center. All 17 general managers of local health authorities and hospitals are located in area Pd (11 Democrats and 6 ex ex Margherita). And the commissioner has no doubts in saying that "the Health is a large area of consensus and it is obvious that they are called to direct people who share the draft of the ruling party and give a guarantee of good work. "
And, before the grain Cup, it was precisely this unity that translates into an iron fist on the appointments to disturb the election campaign, when just past the New Year festivities, the affair has warmed the hearts Marino. Intercepted as part of an investigation by the Prosecutor of Crotone, two doctors of the St. Orsola Hospital in Bologna suggest that the hospital would have closed the doors in the face to Senator surgeon after he was a candidate to the secretary of the Democratic Party against Pierluigi Bersani, supported by the regional summits. In fact, it is true that Marino had an ongoing negotiation with the transplant center at General Hospital where he lent his valuable work in the fraction of the cost of 1,500 € to intervene. But to put a spoke in the wheel to the senator were in the first place some barons of the Centre, one of the few enclaves in the center of the monolithic red health and Bologna. They have, first of all at the start of negotiations between the surgeon and the Hospital in March-April 2009, publicly attacked Bissoni guilty of wanting to bring to the Saint Ursula 'companion' Marino, a cumbersome name that , protest, would eventually remove spaces room colleagues. But in fact he would shade to many. It seems that was more the need to take a quiet slice of its directors pushing the chief executive of St. Ursula and move to postpone the landing of Marino in Bologna at the end of 2010, when they could be operating a number of new operating rooms. The race to the secretary of Senator Pd in this story has little to do. But still the shadow that it cast on the criteria for which is entrusted the health of the Emilia-Romagna. It remains to be seen whether the shadows and the cracks will weigh more on the vote, good facilities.
Lazio
The presidential candidate of the PDL of the Lazio region, Renata Polverini, has now clarified the terms of the matter. He had not yet even opened the headquarters of his campaign already declared: "re-negotiate a repayment plan with the government health care. I do not think the first way to get back the debt and cut beds ", although Lazio are 5.7 beds per thousand population of 4.5 against the national average. With this reassurance to the party of healthcare costs in the Lazio region, has two stakeholders: the Vatican and the CEI, comforted by the UDC, and entrepreneurs with private health in head Angelucci family, which also owns the Daily 'Free' which has made it clear which side was, rudely attacking beliefs Emma Bonino in defense of Law 194 on the voluntary interruption of pregnancy. On the other hand, the Angelucci family has lost, because of the repayment plan of the junta Marrazzo, the remarkable figure of 20 million €. Hit was the core business of clinical Tosinvest owned by the family, the so-called 'rehabilitation', a black hole that swallows Lazio around 500 million euro a year and a testimonial of excellence in the brother of the Speaker of the House , Professor Massimo Fini, scientific director of the group's flagship property Angelucci, at the San Raffaele Pisana. Not only that Angelucci's at stake have a service contract with the incongruous Ifo, oncology Roman, requiring the hospital to the public to buy their services for 22 million euro per year. The contract, which each Director-General of the hospital has established a noose around his neck, was signed in 2001 and has a duration of nine years with automatic renewal if no one does anything to cancel it.
But Lazio has a deficit that is only half the national this year, after cuts and increases in regional rates, will exceed one billion and 900 million euro. The puzzle of the March elections summarizes the senator Pd Lionello Cosentino, Lazio health expert: "The PDL wants to reopen the purse strings: do not take account of budgetary constraints, as did several tricks with the junta that Storace left with a debt of 10 billion. And to share the expense. In Lazio, each citizen spends 20 percent more than what you pay for a Lombardy and Emilia have the worst services.
So while Emma Bonino terrorizing the teachers on the Internet promising to make the curricula of primary candidates and stressed the need to modernize the health system in the region, the most comforting Polverini Board of Health. Who know the sad equation: rebuild the accounts and services means cutting beds in clinics, hospitals and even men who have many beds in general medicine (Those at higher risk of being used for parking and do not treat the sick), did not qualify in terms of excellence and experience a deep crisis, the Christ the King and the San Carlo di Nancy first. But the Ides of dermatology is suffering. All are governed by religious congregations and dear to the vicarage Bonino who fears for their fate, perhaps more than for the promise of making available the pill RU486.
Puglia
accounts in red, procurement investigations, arrests and resignations excellent, poor health care. Yet the disaster is still paying health Puglia in the polls. Between appointments, contracts and reimbursements to individuals. With a turnover of 7 billion. "Politics has his feet in, I would say that there is now in it up to the knees," said a former medical director of caustic Bari Investigations of Desirée pm Digeronimo opened discovering the flaw in the system of all. Links among Gianpi Tarantini and the former governor Raffaele Lease, until the investigation of former councilor of the Democratic Party and entrepreneur in the field of prostheses, Alberto German, arrived in the Senate with the blessing of Massimo D'Alema. I even have a senator DiPietro-entrepreneur, that Giuseppe Caforio introduced in Parliament that the new list of prostheses and wheelchairs reimbursed by the state. Too bad that just those sold by trade.
Here the people of the primaries that has crowned Nichi Vendola with 73 percent sticking many white coats, many nurses and precarious health, with families in tow. Makes no mystery that not even he, when he decided to tackle the gazebo against Boccia, dedicated to their gesture: "I do so on behalf of those nurses who have internalized these precarious and we have stabilized. They called me telling me to be alarmed that I could let go. " A mini-branched party in hospitals and local health authorities that, you can bet, it will also support in the election campaign. And for which, surprisingly, is also part of the Don Luigi berlusconissimo Verzé. Nichi has promised to open at the San Raffaele Taranto in the Mediterranean, which will add to nursing homes for the elderly Don Verzè in Puglia. So Don, as he is known in Milan for months to speak words of affection and esteem for the governor, with the gay and earring.
And not for Rocco Palese, a former medical director of the hospital Gagliano, the doctor who has Fitto candidate respectfully denying even the preferences Berlusconi. And Vendola fears for his own weight in health care. He knows the primary name, budgets to the penny, the hospitals to the millimeter. With him, while nurses and Nichi takes a powerful strokes as the Don, the center points to the galaxy health of small businesses, also run in Puglia Lazio as in the family Tosinvest Angelucci. At stake are about 3 billion euro that the region spends annually to reimburse the private of the governor do not trust them and look to the PDL except for the turnovers. That, to ensure Bari, a lot has to do with the failure, for now, the agreement between PDL and Senator Adriana Poli Bortone. The former mayor of Lecce has picked up the baton UDC Pier Ferdinando Casini, also thanks to the approval of the Vicariate and the Vatican itself. They have much to heart more than the dozens of small facilities around the heel, the largest hospital in San Giovanni Rotondo, the work of Padre Pio. It is the main health center the south, a direct offshoot of the Holy See and guided by the Archbishop of Manfredonia, Michael Beaver, newly appointed. It does not mean only a thousand beds, 26 departments, 50 clinical specialties and three homes, but also prayer groups, millions of faithful and a direct link to curie, parishes and religious institutions. Needless to wonder how the voting weights Padre Pio.
Calabria
Make a clean sweep of all health managers, no longer look to politics. Hath been presented so Giuseppe Scopelliti, Mayor of Reggio Calabria and the candidate of the PDL region. But to govern local health and hospitals in Calabria is just the plot politics and crime that it provides jobs and contracts to friends and family. So when Vincent Sculco Scopelliti has run aboard, the outgoing director sentenced for corruption in the second degree, the storm broke out: "It is disturbing, so the board will remain the most investigated in Italy," he thundered parliamentarian Pd, Doris Lo Moro. The same one that asked him to stop even the governor ricandidatura Agazio Loiero, who have long start your engines throwing loyalists. As the manager of ASL Cosenza, Franco Pietramala, six months for false public document after a crash in 1994. The punishment alone would make unlawful the appointment, but the Loiero imposed. And the director has leveled more than 700 employees. Which add up to other 4 000 ex precarious health made in the past 18 months.
Pietramala is always at the center of the scandal of repayment is not due to private clinics: more than 200 million unclaimed benefits in excess, and that the Council of State had considered illegitimate. A delicious dish of the game. It is no coincidence that the king of tuna, Goofy Callipo testimonial 'no' to the lace and launched by Italy of Values if they're dealing with. It is not a doctor, but has now opened a dialogue with the AIOP, bringing together the private hospitals. So as the party of Casini. Always attentive to the lanes. Work on two bigwig in the area. One controls a score between nursing homes and rehabilitation centers for the elderly. Are 900 beds. The other until a few weeks ago was president of the Foundation that was to become a cancer center in Calabria. In three years has done nothing but take. Without competitions. And the region off checks. From 50 million to blow.
L'Espresso
Yes, the thrill of impunity and indifference to institutions have led the parent company and his deputy of the People of Liberty ', and
Cicchitto Mouthpiece, to confess the real reason why the parliamentary majority , under the thumb of
Berlusconi, wants to pass legislation on such failure. Here is the letter written by the two astute sent yesterday to all Members of the PDL. In it you can read verbatim as follows:
" Dear colleague, Tuesday February 2nd from 10 am vote on the law on such failure. No need to remember the importance that this event has for the PDL, and Prime Minister Berlusconi and I therefore ask the Government to ensure the presence throughout the next week without exception. Sincerely. Signed On and On Italo Bocchino Fabrizio Cicchitto . So, for the same admission of applicants, the Law on "
such failure" is not a law that serves all citizens and the country but it is "important" only "the Mr Berlusconi . What is more to this law, the parliamentarians of the PDL are literally precepts (please ensure the presence in court throughout the next week without any exception). As if to say to all the other things we do in Parliament and for those times that we do not mind ad personam "laws can not be well, but this time its not,
must be" without exception ", because They serve to Berlusconi. 's what the Italian Parliament has been reduced: a tool for the consumption of a system that has distorted piduista role and functions . Our MPs no longer have any freedom of choice and - if they hope to be re-elected ( or rather re-appointed by the Lord ) - must obey silent and prostrate. So next week will also all those Members of the PDL Montecitorio crowd that unlike what happened this week, as was discussed in plenary work, he missed nearly a hundred. Next week, however, want to bet it all together, and trooped well indoctrinated, will be presented in Rome and there, ready to humiliate the Parliament and the Constitution, howl in unison " Yes, master ?
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